IndividualActive
Richard Wagoner
NPI 1912359019 · Pharmacist · Mount Olive, NC
Richard Wagoner is a Pharmacist provider in Mount Olive, NC (NPI 1912359019).
Provider details
- NPI number
- 1912359019
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 26001 (NC)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1019 N Breazeale Ave
Mount Olive, NC 28365-1105
Phone: (919) 658-2554
Street-level locationGet directions
Mailing address
2937 Lowell Dr
Burlington, NC 27217-6071
Registry dates
- Enumerated
- 2016-07-13
- Last updated
- 2016-07-13
Frequently asked questions
- What is Richard Wagoner's NPI number?
- Richard Wagoner's National Provider Identifier (NPI) is 1912359019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Wagoner's specialty?
- Richard Wagoner is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Richard Wagoner located?
- Richard Wagoner's practice location on file with NPPES is 1019 N Breazeale Ave, Mount Olive, NC 28365-1105.
- What is Richard Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Richard Wagoner is (919) 658-2554.
- Is Richard Wagoner's NPI active?
- Yes — Richard Wagoner's NPI (1912359019) is active in the NPPES registry as of the last update on 2016-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.